Health Care Utilization

1,050- to 1,400-word paper. John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call to find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation.
According to Chapter 4 of The U.S. Health System: Origins and Functions, Andersen (1995) developed a model of health services utilization based on three categories of factors: predisposing, enabling, and need. These factors can be further categorized as mutable or immutable. In your paper, discuss the following questions:
What factors may affect John?s health care utilization?
Are these factors mutable or immutable?

What are some ways to change the mutable factors?
Reference
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1-10.
Use at least one peer-reviewed or scholarly reference to support your information.
Format your paper consistent with APA guidelines.
• Discussed what factors may affect John’s health care utilization
• Discussed if the factors are mutable or immutable.
• Discussed ways to change the mutable factors
• Identified some of the other stakeholders involved in the receiving of Medicaid, aside from patient and provider.

(Both options): Points are supported critically with logical reasoning, evidence, facts, or other research.
Organization/Development
• The paperis 1,050 to 1,400words in length.
• The introduction provides sufficient background on the topic, previews major points, and includes a thesis statement.
• The conclusion flows logically from the main body, reviews the major points, and restates the thesis.
• Paragraphs fully developed, organized logically and use transition phrases.
• Writing uses varied sentence structure and is coherent.
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